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Individual
LEAH MEYER THIELEN
Active
Individual
LEAH MEYER THIELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2179
MN
111N00000X
Chiropractor
Primary
702
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003415
BLUECROSS BLUESHIELD
SD
01
—
12610
MEDICAID
ND
01
—
150828800
MEDICAL ASSISTANCE
MN
01
—
23430
SIOUX VALLEY HEALTH
SD
01
—
3C879TH
BLUECROSS BLUESHIELD
MN
01
—
410130
MEDICA
—
05
—
7602732
—
SD
01
—
9003
HEALTH SERVICE MGR
—
Enumeration date
11/16/2006
Last updated
07/16/2024
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